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One Reimbursement Method That Health Plans Can Use for Hospitals

Question 149

Multiple Choice

One reimbursement method that health plans can use for hospitals is the ambulatory payment classifications (APCs) method. APCs bear a resemblance to the diagnosis-related groups (DRGs) method of reimbursement. However, when comparing APCs and DRGs, one of the primary differences between the two methods is that only the APC method


A) is typically used for outpatient care
B) assigns a single code for treatment
C) applies to treatment received during an entire hospital stay
D) is considered to be a retrospective payment system

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